Dare to Change Tanzania: East Africa

Youth Enterprise Awards

Welcome to the application form for this year's program for Social Innovators Dare to Change
Tanzania 2020 part of the East African Youth Enterprise Awards. DOT Tanzania and
implementing partners are excited that you have taken this path to become a change-maker in
your society.

Please take the time to read and understand all the instructions provided in the call for
applications before you fill out this form. It is important that you fill out all the questions and attach
the video.

APPLICATION DEADLINE: 23rd October 2020

All successful candidates will be required to participate fully with the following timelines.

Start Date for Online Training: 02 - 13th November

Arusha Residency Bootcamp: 18 - 22nd November
East Africa YouLead Summit & Awards: 23 - 27th November
The name and photo associated with your Google account will be recorded when you upload files
and submit this form. Not paschalmakoyejames92@gmail.com? Switch account
* Required

Full Names *

Your answer

Email *

Your answer

Mobile number *

Your answer

Age (<=30) *
18 - 22
23 - 30
Above 30
Gender *
Female
Male

Location(Region) *
Choose

Level of education *
Degree
Diploma
Certificate
VETA
Other:

University/College name *

Your answer

Area of study *

Your answer

Current employment/occupation status *

Full-time student
Part-time student
Full-time employed
Part-time employed
Unemployed
I own my own business/self-employed

Do you have a business? If so, what stage is it on? *

Idea
Prototype/Tested
Launch
Row 1
Row 1

Innovation/Business Name *

Your answer
How many Founders are there? *
If it's just you, select 1

1
2
More than 2

What category does your business idea fall into? *

Water, Sanitation and Hygiene (WASH)
Health
Education
Gender
Agriculture
Others

Tell us about your business idea, including the opportunities and challenges you
foresee in developing it *
Your answer

How much of your time and focus will you dedicate to your developing your
business? *
I am working on this full time, and it will be a source of income
I am working on this full time but it is not a source of income
I am working on this part time and I have a separate source of income
I am working on this part time and I have no source of income
Other:

How does your business idea fit into the current COVID 19 pandemic? *
Your answer

How will your business address the most pressing issues faced in your community? *
Your answer
How will your intended business address gender and inclusion?
Your answer

Through your intended business, do you anticipate to do any of the following

activities?(choose as many as you like) *
Helping women and/or girls with projects for their health and wellness
Helping women and/or girls in your community develop skills eg. learning opportunities
Supporting women and/or girls to access jobs that can be performed using digital tools (ie.
without leaving their home)
Supporting women and/or girls with needs related the effect COVID-19
Advocating for the needs of women and/or girls in your community during the COVID-19
pandemic
Other:

In what type of community would your business operate in? *

Rural area
Refugee community
Urban area
Township
Other:

Have you ever received business training? *

Yes
No

Please give us details of the training received

Your answer

Why are you interested in joining DARE? *

Your answer

What support are you looking for? *

Funding
Incubation
General training
Mentorship
Pitching competition
Others

Please share the links or handles to any of your personal social media (Facebook,
LinkedIn, Twitter or Instagram) accounts. This can help DOT build your profile and
share your initiative with the public *

Your answer

Please attach a 2 minutes (or less) video of yourself describing your social innovation
idea. *
If you have a co-founder please do your best to have them in the video as well.

Add file

Please provide the name, relationship, and contact information of at least one
reference. *
Your answer

MEDIA RELEASE
Please note we will be filming and taking photos during the program and associated events. By attending, you
consent to such recording and its release, publication, exhibition, or reproduction to be used for outreach,
social media, or other promotional purposes.

TAASISI INAYOTOA MIKOPO KWA NJIA YA ONLINE.

Weka akiba kulingana na kiasi unacho hitaji kukopa ukiwa kama mteja wa awamu ya kwanza
kukopa.
Weka akiba ya kiasi cha shilingi 10,000 kukopa 100,000.
________________________________________
Weka akiba ya kiasi cha shilingi 20,000 kukopa 200,000.
________________________________________
Wekeza akiba ya kiasi cha shilingi 30,000 kukopa 300,000.
________________________________________
Wekeza akiba ya kiasi cha shilingi 40,000 kukopa 400,000.
________________________________________
Wekeza akiba ya kiasi cha shilingi 50,000 kukopa 500,000.
________________________________________
Wekeza akiba ya kiasi cha shilingi 60,000 kukopa 600,000.
________________________________________
Wekeza akiba ya kiasi cha shilingi 70,000 kukopa 700,000.
________________________________________
Wekeza akiba ya kiasi cha shilingi 80,000 kukopa 800,000.
________________________________________
Wekeza akiba ya kiasi cha shilingi 90,000 kukopa 900,000.
_______________________________________
Wekeza akiba ya kiasi cha shilingi 100,000 kukopa 1,000,000.
_______________________________________
Wekeza akiba ya kiasi cha shilingi 200,000 kukopa 2,000,000.
KARIBU.
Imeandaliwa K.N.Y ya ofisi ya mkuu wa wilaya
Jokate mwegelo kwa kushirikiana na taasisi ya Lego company.